LCDC TX EXAM WITH 100% CORRECT ANSWERS 2023

LCDC TX EXAM WITH 100% CORRECT ANSWERS 2023 A method of reinforcing therapeutic alliance & spirit of collaboration between the PT & counselor: - Correct answer-setting mutually-established goals A mental status exam includes: - Correct answer-Appearance Speech Thought Process The provision of info concerning alcohol/drug abuse & the available srvcs & resources: - Correct answer-client education When should significant others should be involved in the treatment process? - Correct answer-From the clients first contact with the treatment center The NIDA-financed Drug Abuse reporting Program found that: (having to do with therapeutic communities) - Correct answer-Therapeutic communities do reduce drug use relative to untreated clients or those who are simply detoxified and released. A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking. You should: - Correct answer-Consult with his physician regarding nicotine/medication interaction. A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational thinking - Correct answer-Rational-Emotive Therapy A "release of information" must include: name, address, DOB & _____? - Correct answer-The purpose of the release of information When a client discloses suicidal thougths, the counselor's first step is to: - Correct answer-Assess the degree of risk When conducting an assessment what is the counselor's primary focus? - Correct answer-Identifying the clients problems and needs, strengths and weaknessess. The BEST indicator if an individual is physically dependent upon alcohol or another drug is: - Correct answer-The presence of withdrawal symptoms. Guilt and ___ are painful emotions that are part of grieving. - Correct answer-Anger Despite vast personality differences, virtually all substance abusers experience: - Correct answer-remorse, self-hatred and shame You are having difficultiy with a client early on in the case. The BEST thing for you to do is: - Correct answer-Seek out supervision with a colleage or supervisor Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to complete - Correct answer-CAGE questionnaire Drug Offender Profile Evaluation/Refferal Strategies - Correct answer-D.O.P.E.R.S. Michigan Alcoholism Screening Test - Correct answer-MAST Self Administered Alcoholism Screening Test - Correct answer-SAAST Short Michigan Alcoholism Screening Test - Correct answer-SMAST Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - Correct answer-SASSI Addiction Severity Index - Correct answer-ASI Diagnostic and Statistical Manual of Mental Disorders - Correct answer-DSM Adapted Short Michigan Alcoholism Screening Test for Fathers - Correct answer-FSMAST Global Appraisal of Individual Needs - Correct answer-GAIN Minnesota Multiphasic Personality Inventory - Correct answer-MMPI Minnosota Substance Abuse Problems Scale - Correct answer-MSAPS Readiness To Change Questionnair - Correct answer-TRCQ Substance Abuse Subtle Screening Invnetory for Adolescents - Correct answer-SASSIA Human Immunodeficiency Virus - Correct answer-HIV The Stages of Change : - Correct answer-1) pre-contemplation 2) contemplation 3) preparation 4) action 5) maintenance 6) relapse (SCM) Not yeat acknowledging that there is a problem behavoir that needs to be changed - Correct answer-Pre-Contemplation (SCM) Acknowledging that there is a problem but not yet ready or sure of wanting to make a change - Correct answer-Contemplation (SCM) Getting ready to change - Correct answer-Preparation (SCM) Changing behavior - Correct answer-Action SCM) Maintaining the behavior change - Correct answer-Maintenance (SCM) Returning to older behaviors and abandoning the new changes - Correct answer-relapse The Stages of Change Model was originally developed in the late 1970's and early 1980's by... - Correct answer-James Prochaska, Carlo DiClemente Bio-psychosocial perspective - Correct answer-This recognizes that there are biological, psychological and social causes of substance abuse and dependence. Biological factors - Correct answer-These include brain chemistry problems, which may be genetic, making some people particularly vulnerable to addiction to certain drugs once they try them. Psychological factors - Correct answer-These include cognitive styles, personality traits, and early developmental experiences that may contribute to a client's causes of substance abuse and dependence. Social factors - Correct answer-These include poverty, oppression, poorly developed social skills, and family dysfunction that may contribute to a client's causes of substance abuse and dependence. Motivational interviewing - Correct answer-This is a style of interacting with clents, used not only for assessment, but for all phases of treatment, that is particularly helpful for reducing defensiveness and encouraging therapeutic collaboration between the counselor and client. Uses the interpersonal process to enhance clients' motivation to change, and encourages clients to move on to the next stage of readiness for change. Assessment Instruments - Correct answer-These aid in the identification of, and treatment planning for substance related disorders. Reliability - Correct answer-This refers to the consistency with which an assessment instrument measures. Validity - Correct answer-This refers to what an assessment instrument measures and how it is used. Screening Instrument - Correct answer-This distinguishes individuals who do not have a disorder from those who might have one. ` - Correct answer-` CAGE - Correct answer-4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener? DAST - Correct answer-Drug Abuse Screening Test (adapted from MAST) used to detect abuse or dependence on drugs other than alcohol. MAST - Correct answer-Michigan Alcoholism Screening Test - yes or no to 25 questions. RAPS-4 (Rapid Alcohol Problems Screen) - Correct answer-An answer of yes to one or more questions indcates the possibility of alcohol dependence during the past year. The questions have to do with remorse, amnesia, performance of life duties, and starting the day with alcohol. SASSI (Substance Abuse Subtle Screening Inventory) - Correct answer-This brief selfreport is designed to identify individuals with a high probability of having a substance related disorder. SASSI-A2 - Correct answer-Substance Abuse Subtle Screening Inventory for Adolescents ages 12 to 18. TLFB (Time Line Follow Back Procedure) - Correct answer-This is a Comprehensive Measure of Drinking which makes connections between significant events in the client's life and alcohol/drug use patterns and intensity, for the past year. ADS (Alcohol Dependence Scale) - Correct answer-This diagnostic instrument is a 25- item instrument that provides a quantitative measure of the severity of alcohol dependence. DIS-IV (Diagnostic Interview Schedule - Alcohol Module) - Correct answer-This diagnostic instrument asks 28 questions that permit diagnosis of alcohol abuse or dependence. ICS (Impaired Control Scale) - Correct answer-This diagnostic instrument is a pencil and paper self-administered insturment that measures clients' attempts to control drinking during the last 6 months and their perception of their ability to control it now. OCDS - Correct answer-Obsessive Compulsive Drinking Scale SADD - Correct answer-Short Alcohol Dependence Data SDSS - Correct answer-Substance Dependence Severity Scale ASI (Addiction Severity Index) - Correct answer-This is a semi-structured interview with seven subscales addressing problems in the areas of family/social status, medical status, employment and support, drug use, alcohol use, legal status, and psychiatric status. It is useful for treatment planning and outcome evaluation with adult clients. AUI (Alcohol Use Inventory) - Correct answer-This self-report inventory is in multiplechoice format, for ages 16 and up. It is based on the multiple condition theory, which takes into account individuals' different styles of drinking, perceptions of alcohol's benefits and consequences, and how they want to deal with drinking problems. CBI (Coping Behaviors Index) - Correct answer-This instrument measures factors related to relapse risk: positive thinking, negative thinking, avoidance/distraction, and seeking social supports. WAIS-III (Wechsler Adult Intelligence Scale) - Correct answer-This is a popular intelligence test. The Strong Interest Inventory - Correct answer-A vocational interest scale that compares clients' interests to those of people who are happy in different occupations. MMPI-2 - Correct answer-The Minnesorta Multiphasic Personality Inventory contaings several clinical scales that detect pathology including the MacAndrew Alcoholism Scale. The Mental Status Exam - Correct answer-A series of observations about a client's appearance, behavior, attention, mood, affect, perceptual and thought processes, judgement, and memory at a given point in time. Includes observations of a client's orientation to time, place and person. MBTI (The Myers-Briggs Type Indicator) - Correct answer-This is a personality inventory that looks at clients' preferred ways of being in the world and assigns them to 1 of 16 personality types. Frequently used in vocational and relationship counseling. The Beck Depression Inventory II - Correct answer-Used to track changing levels of depression over the course of treatment for clients age 13 and over. Individuals rate themselves on 21 groups of statements that tap the affective, behavioral, cognitive, and physiological symptoms of depression for the 2 weeks prior to testing. Biomarkers - Correct answer-Measuring these physiological markers at intervals throughout treatment may provide early identification of relapse. EMIT - Correct answer-Enzyme Multiplied Immunoassay Test - this urine testing kit uses antibodies that react to the presence of a drug or its metabolites. GGT - Correct answer-Gamma-glutamyltransferase - indicates prolonged, rather than episodic drinking. ASAT - Correct answer-Aspartate aminotransferase - screens for heavy drinking. ALAT - Correct answer-Alanine aminotransferase - screens for heavy drinking. CDT - Correct answer-Carbohydrate Deficient Transferrin - sensitive enough to pick up moderate drinking over a peoiod of a few weeks. SOCRATES - Correct answer-A readiness-to-change scale that stands for Stages Of Change Readiness And Treatment Eagerness Scale. URICA - Correct answer-A readiness-to-change scale that stands for the University of Rhode Island Change Assessment. FTQ - Correct answer-Family Tree Questionnaire helps clients report information about the incidence of alcohol problems in their blood relatives. Genogram - Correct answer-A pictorial representation of family structure, using a least three generations and a standard set of symbols. DSM-IV-TR - Correct answer-Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (APA, 2000). Axis I - Correct answer-Contains 16 categories of clinical disorders, one of which is Substance Related Disorders. Substance Related Disorders - Correct answer-This category of clinical disorders in Axis I of the DSM IV-TR includes both Substance Use Disorders and Substance Induced Disorders. Substance Use Disorders - Correct answer-This sub-category of Substance Related Disorders includes both Substance Abuse and Substance Dependence. Substance Induced Disorders - Correct answer-These Axis I disorders are a subcategory of Substance Related Disorders and can include Substance Intoxication and Substance Withdrawal, Substance induced delirium, persisting dementia, persisting amnesic disorder, psychotic disorder, mood disorder, anxiety disorder, sexual dysfunction disorder, and sleep disorder. Axis II - Correct answer-This axis of the DSM IV- TR includes the personality disorders as well as mental retardation. Cluster A - Correct answer-Axis II disorders that feature odd, eccentric, isolative, or suspicious behavior. They include Paranoid, Schizoid, and Schizotypal personality disorders. Cluster B - Correct answer-Axis II disorders that often co-occur with substance abuse and dependence, and are characterized by dramatic, emotional, erratic, or impulsive behavior, or a reduced capacity for empathy. They include Antisocial Personality Disorder, BPD, Histrionic Personality Disorder and Narcissistic Personality Disorder. Antisocial Personality Disorder - Correct answer-This personality disorder features a pervasive pattern of disregard for and violation of the rights of others. Borderline Personality Disorder - Correct answer-This personality disorder features a pervasive pattern of instability in interpersonal relationships, self-image, affect, and control over inpulses. Features may include frantic attempts to avoid real or imagined abandonment, impulsivity in at least two areas that are self-damaging, chronic feelings of emptiness. Histrionic Personality Disorder - Correct answer-This personality disorder features a pervasive pattern of excessive emotionality and attention seeking, often with provocative dress. Narcissistic Personality Disorder - Correct answer-This personality disorder features a pervasive pattern of grandiosity, need for admiration, and lack of empathy. Cluster C - Correct answer-These Axis II personality disorders feature anxious, fearful, and perfectionistic behavior. They are the Avoidant, Dependent, and ObsessiveCompulsive personality disorders. ` - Correct answer-` Axis V - Correct answer-This axis of the DSM IV -TR is the Global Assessment of Functioning (GAF) scale, which assigns a number from 1 to 100 to the counselor's judgement of the client's overall level of psychological, social and occupational functioning. Substance Abuse - Correct answer-A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by at least one of the four following criteria occurring within a 12- month period: recurrent substance use resulting in a failure to fulfill major obligations at home, school or work, recurrent substance use in situations in which it is physically hazardous, recurrent substance use legal problems, and continued substance use despite having persistent or recurring problems caused or exacerbated by the effects of the substance. Substance Dependence - Correct answer-A maladaptive pattern of substance use, leading to clinically significant impairment or distress, as manifested by 3 or more of the following 7 criteria: tolerance, withdrawal, increased dose or dosing for longer periods of time, attempts to cut down unsuccessfully, time spent obtaining, using, recovering from use, important social, occupational and recreational activities given up or reduced because of use, physical or psychological problems caused or exacerbated by continued use. Physiological Dependence - Correct answer-Indicated by whether tolerance and withdrawal are present. Withdrawal - Correct answer-Defined by either the characteristic withdrawal syndrome for the substance or the same or a closely related substance being taken to relieve or avoid withdrawal symptoms. Specifiers - Correct answer-Used for Substance Dependence Diagnosis, these 6 categories are: Early full remission, early partial remission, sustained full remission, sustained partial remission, on agonist therapy, in a controlled environment. Polysubstance Dependence - Correct answer-The proper diagnosis for a client who has repeatedly taken at least three groups of substances, and who meets creiteria for dependence for the substances as a group, but not for the substances individually. Dually-Diagnosed - Correct answer-This client has one or more other psychiatric disorders along with substance abuse or substance dependence. Also known as cooccurring disorders. All disorders should be treated concurrently and aggressively. Affect - Correct answer-The external expression of an internal emotional state. Mood - Correct answer-A sustained emotion. Changes less frequently than affect. Delusions - Correct answer-False beliefs that are maintained despite proof against their truth. Hallucinations - Correct answer-Perceiving something in the absence of a sensory input. May be auditory, visual, olfactory, gustatory or tactile. Illusions - Correct answer-Misperceptions of actual sensory input. Problem Statement - Correct answer-Component of a MTP that should be stated in client's words whenever possible. Answers the question, "Why are you here?" Include statement of problem and evidence for it. Goal Statement - Correct answer-Component of a MTP that should be acceptable to the client and answers the question, "What is necessary to remedy the problem?" Should be stated positively - eg. "Client will maintain abstinence," rather than, "Client will not drink." Objectives - Correct answer-Component of a MTP that states specific things the client will do to meet the goal. Stated in behavioral terms, and are observable, realistic, time specific, appropriate to the level of treatment and measurable. Strategies - Correct answer-Component of a MTP that states what the counselor will do to help meet the client's objectives. Includes the theoretical model to be used, (eg. reality therapy) and the specific techniques to be employed (eg. assertiveness training or refusal skills training). These are sometimes also called "Interventions". Axis I, IV and V - Correct answer-CASACs are responible for these three axes on the Written Assessment Summary. Other axes can be written up as "deferred" or list symptoms eg. deferred, reports frequent headaches. AUDIT - Correct answer-world health organization, over 8 suggests harmful consumption, looks at frequency ` - Correct answer-` DAST - Correct answer-drug dependence other than alc...lifetime severity RAPS4 - Correct answer-Remorse, amnesia, personal respon, start day with drink...alc dependence SASSI - Correct answer-allows diagnosis of cohabitating disorders...self report TWEAK - Correct answer-use/abuse during pregnancy CBI - Correct answer-coping behav inventory...relapse, social supports, attitude and avoidance WAIS - Correct answer-Weschler...intelligence tet MMPI - Correct answer-personality inventory...detects pathology MMPI - Correct answer-MacAndrews alc scale Myers Briggs - Correct answer-1-16 personality...no pathology EMT - Correct answer-urine tests, tests metabolites/drugs, heroin, marij, pcp, cocaine Beck depression - Correct answer-21 item...depression symptoms for 2 weeks...29-63 depression